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April 1971

Susceptibility to Chronic Hospitalization Relative to Age at First Admission

Author Affiliations

From the Department of Psychiatry, Tufts University School of Medicine, and the Boston State Hospital, Boston.

Arch Gen Psychiatry. 1971;24(4):346-352. doi:10.1001/archpsyc.1971.01750100056008

The percentage of first admissions for psychosis terminating in chronic (ie, three-year-continuous) hospitalization was determined in a 5- to 15-year follow-up of first admissions from Boston for 1953 to 1963. The rate of chronic hospitalization for patients aged 15 to 19 at first admission is over 20%, which is twice the average rate for patients aged 20 to 39 at first admission. About 90% start the "chronic" admission within five years after first admission, but over 70% are discharged at least once after the first admission. The findings underline the need for developmentally relevant treatment and rehabilitation programs prior to community-based care.